Individual
AMY MATTHIESSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
505 BELLE HALL PKWY UNIT 101, MOUNT PLEASANT, SC 29464-8326
(843) 718-2683
(803) 573-1050
Mailing address
505 BELLE HALL PKWY UNIT 101, MOUNT PLEASANT, SC 29464-8326
(843) 718-2683
(803) 573-1050
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6019
SC
Other
Enumeration date
11/21/2021
Last updated
12/14/2021
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